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Medicaid State Plan Amendments

A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.

When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.

Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.

Results

Displaying 521 - 530 of 15696

Tennessee

This amendment is to update state plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15. This SPA also includes state attestation that it will submit mandatory Health Home Core Set data pursuant to 42 CFR §§ 437.1O and 437.15.

Approval Date: November 4, 2024
Effective Date: October 1, 2024
Topics: Health Homes Managed Care Medicaid and CHIP Program (MACPro) Program Administration

Massachusetts

This plan amendment updates the rates for Day Habilitation.

Approval Date: November 4, 2024
Effective Date: October 1, 2024

Missouri

This amendment adds coverage of doula services to enhance the bi1ihing experience, reduce complications, and improve outcomes for women and infants.

Approval Date: November 1, 2024
Effective Date: November 1, 2024
Topics: Coverage and Reimbursement

Alaska

This SPA is to update state plan assurances in accordance with the federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set.

Approval Date: November 1, 2024
Effective Date: October 1, 2024
Topics: Medicaid and CHIP Program (MACPro)

Nebraska

This plan amendment proposes change to the intennediate care facility for individuals with developmental disabilities inflation factor for state fiscal year 2025.

Approval Date: November 1, 2024
Effective Date: July 1, 2024

Nebraska

This plan amendment proposes change regarding the nursing facility inflation factor for state fiscal year 2025.

Approval Date: November 1, 2024
Effective Date: July 1, 2024

New Hampshire

This amendment is to cover the optional eligibility group described in 42 C.F.R. 435.218 ("Individuals with MAGI-based income above 133 percent FPL") and serve in it children under 19 whose incomes are no greater than 318 percent of the federal poverty level and who may have other insurance.

Approval Date: November 1, 2024
Effective Date: July 1, 2024
Topics: Coverage Eligibility Medicaid and CHIP Program (MACPro)

Kentucky

Assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.

Approval Date: November 1, 2024
Effective Date: December 31, 2024
Topics: Program Administration

Virginia

Assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.

Approval Date: November 1, 2024
Effective Date: October 1, 2024
Topics: Program Administration

Wyoming

This amendment moves the Applied Behavior Analysis (ABA) services from the Rehabilitative Services – Mental Health and Substance Abuse section to the Preventive Services Section of the plan with a reference in the Early Periodic Screening Diagnosis and Treatment (EPSDT) services to Preventive services.

Approval Date: October 31, 2024
Effective Date: July 1, 2024